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�3-$$ ■ SECTION i3: Forms and Reference <br /> �NrVERS�TY" Septic System Management Pla�a -. <br /> for Above Grade Syslems <br /> �F MINIVESOTA <br /> Maintenaace Log <br /> Track mcrintencznce activities here,f�r easy reference.See list of manczgement tasks on pages 3 and 4. <br /> Achvity Date accomplished <br /> Check frequently: <br /> Leaks: check for plumbing Ieaks <br /> Soit treatment area check for surf'aaing <br /> Lint filter: check,clean if needed <br /> Effluent screen: if owner-maintained <br /> Check annually: <br /> Water usage rate(rnonitor frequency____} <br /> Caps:znspect,replace if needed <br /> Water use appliances—review use �� <br /> Other: <br /> Notes: <br /> Mitigation/corrective action plan: <br /> "Rs the owner of this SSTS, I understend it ia my reaponaibt2ity to proper2y operate and maintain <br /> the ser�age treatment system on th�s property, utiliztng the Manaqement p1an, If requirements in <br /> this Management Plan are not met, i wtIl promptly nottfy the permttting authority end take <br /> necessary corrective acttons. Sf i have a new syatem, I agree to adequately protect the reserve <br /> area for future use as a so�1 treatment system,^ <br /> Pro e Owner Si ature: Date <br /> Mana ement Plan Pre ared B : �7 r � Certification# a�} t,�c,�'3q <br /> � <br /> Pernuttin Authori . <br /> �2010 Regents of the University af Minnesota. Al1 rights mserved. The University of Minnesota is an equsl opporiunity educator and emp]oyer, <br /> T"his material is avsilable in altemative foimata upon request Coniact the Water Resources Center,612-6249282. The Onsite Sewage <br /> Treatrnent Program is delivered by the University of Minnesota Extension Service and the University of Minnesota Water Resources Center. <br /> -b- <br />